Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $57.89 / $114.68	Facility		$19.75	$57.89	$114.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $21.75 / $24.20	Professional		$21.43	$21.75	$24.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $65.69 / $89.61	Facility		$40.54	$65.69	$89.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $28.50 / $44.65	Professional		$17.94	$28.50	$44.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $60.74 / $65.53	Professional		$24.95	$60.74	$65.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $31.39 / $83.00	Facility		$21.76	$31.39	$83.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $28.69 / $50.23	Professional		$24.95	$28.69	$50.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $33.68 / $64.58	Facility		$24.95	$33.68	$64.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $31.39 / $72.36	Facility		$21.76	$31.39	$72.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $29.94 / $40.86	Professional		$24.95	$29.94	$40.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48.65 / $77.03 / $103.08	Facility		$48.65	$77.03	$103.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $31.82 / $61.54	Professional		$22.31	$31.82	$61.54
United Facility/Professional Facility Modifier Low / Median / High Price $37.43 / $37.43 / $39.92	Facility		$37.43	$37.43	$39.92
United Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $12.37 / $29.94	Professional		$10.48	$12.37	$29.94